IC106-2021: Cartilage Injury of the Knee: Current Controversies in 2021-Cartilage Injury of the Knee: Current Controversies in 2021 (4/5)

Cartilage Injury of the Knee: Current Controversies in 2021 (4/5)

Video Transcription

Video Summary

In the video, Dr. Gamal discusses various cell-based cartilage repair options, focusing on particular cartilage allograft (PACA), viable cartilage allograft (VCA), and MACI (matrix-induced autologous chondrocyte implantation). He explains that cell-based therapy is a slow process that requires patience and rehabilitation. Dr. Gamal also discusses the use of PACA as a cell delivery vehicle for smaller defects, while MACI is used for larger defects. He mentions the importance of intact bone for these procedures and notes that bipolar lesions in the patellofemoral joint do well with MACI. He emphasizes the need to carefully document the size of defects and meniscus status to avoid peer-to-peer review and denials. The video also touches on the costs and limitations of cell-based therapies and the lack of insurance coverage for some procedures. Dr. Gamal concludes by stating that cell-based procedures are viable options but require careful patient selection and management expectations.

Asset Caption

Andreas Gomoll, MD

Keywords

cell-based cartilage repair options

PACA

VCA

MACI

rehabilitation

defect size documentation